NUR 3600 Final Questions with
Detailed Verified Answers
Question:What would be 3 characteristics of duchenne muscular dystrophy?
Ans: -Lordosis
-waddling gait
-hypertrophy on calves
Question: Tet of fallot child. Having blue spell, what is happening in their
heart when they have this?
Ans: They squat to help with increasing perfusion to heart and brain. When
having a blue spell, shunting desat blood from right to left. Have a problem
with their pulmonary vessels, pulmonary system has pulmonary stenosis,
stiffening of it and smaller than. Spasm occurs that decreases pulmonary
blood flow. Multiple defects such as overriding aorta. Malfunction of aorta.
Decreases pulmonary blood flow causing shunting from right to left of desat
blood and overriding aorta. Blue spells mean they get cyanotic caused by
spasming of heart that sits next to pulmonary valves causing backup to aorta
Question: What do you expect a 6 month old to be able to do at well child
visit?
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Ans: closed posterior fontanel
Question: 6 month old postop post laryngotomy tube to help drain, what pain
scale would you use?
Ans: FLACC scale
Question: Child who has a systemic disorder, been on antibiotics
immunosuppressants and steroids, parents have smoking history and
soreness in mouth and refusing to eat, white plaque in mouth and wont go
away, what is it called?
Ans: candidiasis
Question: Somebody with pinworms, what is principal symptom of this?
Ans: Itchy bottom/perianal itchiness; to detect, put tape on bottom/anus
Question: Have someone with vasocclusive sickle cell crisis, what would you
take care of for this child?
Ans: pain management and IV fluids (hydration)
Question: Pyloric stenosis, what would you see?
Ans: projectile vomiting
Question: Putting cast on, what action do you want to do for this child to help
them tolerate it more?
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Ans: Use a toy or stuffed animal to demonstrate procedure
Question: In Kawasaki disease, you have long term therapy you use for them
that puts them at risk for what?
Ans: ASA puts them at risk for Reyes syndrome
Question: What do you find if you have bedbugs?
Ans: rash
Question: Why would you do a surgical closure to repair a PDA?
Ans: Preventing return of oxygenated blood back to the lungs, pushing
oxygenated blood forward
Question: What defect causes increase in pulmonary blood flow?
Ans: ASD (atrial septal defect)
Question: What intervention would help minimize separation anxiety for a
hospitalized toddler?
Ans: Allow parents to room in
Question: Giving steroids to someone that has ITP (idiopathic
thrombocytopenic purpura) what do you need to monitor when you give them
steroids?